Provider Demographics
NPI:1649902024
Name:BRASHER, VICTORIA CHANTE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:CHANTE
Last Name:BRASHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 10TH CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:AL
Mailing Address - Zip Code:35127-1501
Mailing Address - Country:US
Mailing Address - Phone:205-368-0655
Mailing Address - Fax:
Practice Address - Street 1:27 MIDWAY PLZ STE B
Practice Address - Street 2:
Practice Address - City:DORA
Practice Address - State:AL
Practice Address - Zip Code:35062-9340
Practice Address - Country:US
Practice Address - Phone:205-255-7052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-164494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily